Forest Hills Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FOREST HILLS ALF LLC

Practice address

4304 W Houston St
Broken Arrow, OK 74012-4519

Phone

(918) 250-1700

Fax

(918) 294-8376

NPI assigned

Dec 28, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judah Bienstock

Title

Managing Member

Phone

(314) 812-2550

Specialties & licenses 1

Addresses

Other names 1

• Forest Hills Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1740526474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124519",
            "telephone_number": "918-250-1700",
            "fax_number": "918-294-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124519",
            "telephone_number": "918-250-1700",
            "fax_number": "918-294-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-812-2550"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Hills Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vondy C Fletcher, MS, LCPC
• Shelbi Lynn Folds
• Kevin Foley
• Archie Ford Jr.
• Archie Ford
• Forest Hills Health Care
• Taylor Breann Forman, PT
• Manita Forney
• Foster Mental Health LLC
• Angela Foster, APRN-CNP

• Assisted Living Facility in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.